Article Type

Original Study


Introduction : Living-related liver transplantation is gaining increasing acceptance in Egypt and is the only available liver transplantation tech­nique as cadaveric grafts are not ap­proved by law. However it needs high surgical skills regarding hepatic sur­gery, micro vascular anastomosis & training on small biliary anastomosis. Aim : Provide surgical team re­sponsible for living-related liver trans­plantation with frequent training on a model very similar to that in human. The aim is to acquire the required sur­gical skills. Methodology: This technique was done in 9 adult mongrel dogs of both sexes weighing between 8.5-15 kg, in experimental animal house in Urology nephrology center. General anesthe­sia is used in all dogs with intubation. Through midline incision and insertion of ring retractor, dissection of hepatic artery, portal vein, common bile duct and hepatic veins is done with preser­vation of IVC and isolated dissection of LHV and RHV. Division of HA, PV. CBD is then carried out followed by -clamping RHV & LHV and anterior ve-notomy of LHV. Infusion of PV with cold ringer's solution at 4 C~ with drainage from LHV venotomy. Rea-nastomosis of HA, PV, CBD & closure of venotomy is done at the end with revascularization of the graft. Wedge liver biopsy was taken before portal clamping, at 30 min ischemia, after

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Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.